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急性颈髓损伤并发低钠血症的临床分析及治疗

Clinical Analysis and Treatment of Acute Cervical Spinal Cord Injury With Hyponatremia

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【作者】 王永亮; 刘学静; 孙晓林; 王大伟; 廉克强;

【Author】 WANG Yongliang;LIU Xuejing;SUN Xiaolin;WANG Dawei;LIAN Keqiang;Jiaozuo City The People s Hospital Department of Orthopedic Surgery;

【机构】 焦作市人民医院骨科;

【摘要】 目的探讨急性颈髓损伤并发低钠血症患者的临床特点及治疗效果。方法选取我院2012年5月~2014年12月急性颈髓损伤并发低钠血症患者136例,将其随机分成两组。结果不同颈髓损伤平面损伤程度及是否合并感染各项比较,各组别之间低钠血症发生率比较,P<0.05,差异具有统计学意义。34例低钠血症患者经限制水摄入量和适量的补钠治疗,低钠症状1~2 W内改善。结论急性颈髓损伤并发低钠血症患者的并发因素,多与受损颈髓部位的平面损伤程度及合并感染相关限制水摄入量有关,适当补钠是安全有效的治疗方法。

【Abstract】 Objective To investigate the clinical characteristics and treatment effect of acute cervical spinal cord injury complicated with hyponatremia. Methods Selected 136 cases of acute cervical spinal cord injury complicated with hyponatremia from May 2012 to December 2014 in our hospital were randomly divided into two groups. Results There were differences in the level of injury of different cervical cord injury and the incidence of low sodium, P<0.05, had difference statistically significance. 34 patients with hyponatremia were treated with restriction of water intake and appropriate amount of sodium, and the symptoms of low sodium were improved by 1 to 2 weeks. Conclusion Acute cervical spinal cord injury complicated with hyponatremia in patients with the extent of damage to the extent of the damage to the cervical spinal cord injury and combined with infection associated with restricted water intake, appropriate sodium is a safe and effective treatment method.

【关键词】 颈椎; 脊髓损伤; 低钠血症;
【Key words】 Cervical vertebrae; Spinal cord injury; Hyponatremia;
  • 【文献出处】 中国继续医学教育 ,China Continuing Medical Education , 编辑部邮箱 ,2015年26期
  • 【分类号】R651.2;R591.1
  • 【被引频次】1
  • 【下载频次】87
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